| NPI | 1386670107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60633385) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 095006222RN/N7) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2018-03-17 |